Organization Active NPI

Ms Vibbert DDS PC

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1134720147
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MS VIBBERT DDS PC
Practice address
7301 Georgetown Rd Ste 113
Indianapolis, IN 46268-4157
Phone
(317) 802-0649
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amadna V
Title
Om
Phone
(131) 780-2064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7301 Georgetown Rd Ste 113
Indianapolis, IN 46268-4157

Mailing address

7301 Georgetown Rd Ste 113
Indianapolis, IN 46268-4157

National Provider Directory

National Provider Directory

Locations

7301 Georgetown Rd
Ste 113
Indianapolis, IN 46268
Phone (317) 802-0649

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1134720147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 GEORGETOWN RD STE 113",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 GEORGETOWN RD STE 113",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684157",
            "telephone_number": "317-802-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS VIBBERT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "V",
        "authorized_official_first_name": "AMADNA",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "131-780-2064"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.